Anna T. Lukic, DDS, Ms, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANNA T. LUKIC, DDS, MS, PA

Doing business as

Dentistry at the Lake

Practice address

548-5 Williamson Road
Mooresville, NC 28117-2811

Phone

(704) 209-9913

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Lukic

Title

Owner

Phone

(704) 209-9913

Specialties & licenses 1

Addresses

Other names 1

• Dentistry at the Lake Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1831669886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 WILLIAMSON RD STE 5",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179111",
            "telephone_number": "704-209-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548-5 WILLIAMSON ROAD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281172811",
            "telephone_number": "704-209-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA T. LUKIC, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "LUKIC",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-209-9913"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry at the Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Andrade, PTA
• Constance A Andrews, PT
• Liliah Andrews
• Jessica Marie Angelo
• Angels of Love Respite Home Care
• Craig Lincoln Anthony, M.D.
• Matthew J Antonelli, DC
• Lisa S Anzalone, MSW, LCSW
• Jacqueline Grace Aprahamian
• Kathryn Archer

• Dental Clinic/Center in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.